Heel pain TCM Therapy

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Health care methods for heel pain

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(1) External Medicine  
1) Shangke Xiaoyan Paste is externally applied; or hot compress with Yunfeng Powder is used; Baxian Xiaoyao Decoction may also be used for fumigating and bathing the sick foot. Recipe: Radix Saposhnikoviae (Fangfeng) 3g, Herba Schizonepetae (Jingjie) 3g, Chuanxiong (Rhizoma Chuanxiong) 3g, Radix Angelicae Sinensis (Danggui) 6g, Rhizoma Atractylodis (Cangzhu) 6g, Cortex Radicis (Mudanpi)10g, Chuanjiao ( Pericarpium Zanthoxyli Bungeani ) 10g, Radix Flavescentis (Kushen) 15g, Cortex Phellodendri (HuangBai)6g and Radix Glycyrrhizae (Gancao) 3g. This treatment is given twice or thrice a day.

2) Take the Chinese medicine for dispelling wind and removing dampness, activating blood circulation to dispel cold and free vessels to stop pain.
Ingredients: Ephdra sinica Stapf 15g, aconiti Preparata 15g, prepared kusnezoff monkshood root 15g, prepared mastix 15g, prepared myrrh 15g, peony 20g, radices paeoniae alba 20g, the seed of Job's tears 30g, rhizoma corydalis 20g, earthworm 15g, peach kernel 20g, asarum 15g, vinegar 250ml.
Process: Soak the ingredients in 3000ml of water, decoct it to 1500ml of decoction; add 250ml of vinegar and cook till it is boiling;
Steam feet over the decoction till the temperature downs to the tolerance feet; then soak and wash feet in the decoction; heat the decoction again when it cools down. Take it three times a day in the morning, afternoon and night and each time for 30-40 minutes; 7 days is a course of treatment and the second course can be taken if the disease hasn’t cured.

3) Modified Duhuo Jisheng Tang
Ingredients: Astragalus mongholicus 30-150g, the root of Fangfeng, notopterygium root 10g, radix angelicae tuhuo 20-60g, cassia twig 10g, large-leaved gentian 10g, prepared rehmannia root 10-30g, Ligusticum wallichii 10g, angelica 10g, radices paeoniae alba 10-30g, parasitic loranthus 30g, the root of bidentate achyranthes 20g, tu-chung 20g, peach kernel 10g, safflower 10g, lignum millettiae 15-60g, asarum 5-30g, the seed of Job's tears 15-100g, Poria cocos 20g, liquorice 6g. Honeycomb and futokadsura stem are added for the excess wind; aconiti Preparata, prepared kusnezoff monkshood root and the mixture of the rhizome of Chinese monkshood and monkshood are added for the excess cold; rhizoma atractylodis and white atractylodes rhizome are added for the excess dampness; Boswellia carterii and myrrh are added for the obvious blood stasis; rhizoma cibotii, teasel root and fructus psoraleae are added for the obvious kidney-deficiency; scorpio, centipede and cockroach are added for the long time of disease and serious pain.
Process: Decoct the ingredients in water for drinking and one dose a day; 15 days is a course of treatment and two courses are taken.

(2) Acupoints Massage
Tendon-smoothing manipulation: First, knead and massage the heel for 3 to 5 minuets to make the local hot, then press the painful points of the heel for 3 to 5 times, the strength of pressing should be adjusted according to the patients' tolerance. This treatment is performed once a day.
Physical therapy: Infrared, magnetic, ultrashort wave, or Chinese herbal ion-introduction therapy may be chosen in combination with other therapies.

(3) Guasha Therapy
1) Points selected: Yanglingquan (SP 9), Sanyinjiao (SP6), Taixi (KI3), Zhaohai (KI 6) and Jinmen (BL63).
2) Manipulation: Keep an angle of 45 degree between the scraping board and the skin; apply the scraping oil and scrape the points directly; the manipulation should be gentle and is mainly with the reinforcing method; scrape the points till the toxin is moved out.

(4) Cupping Therapy
Points selected: Yongquan (KI 1) on the effected side, Kunlun (BL 60), Taixi (KI3), Chengshan (BL57) or the pressure point on the back of lower calf.
Method: You should adopt medicine cupping method, or cupping of venesection, or dermal needle cupping to suck above acupoints for 10-15 minutes once a day or one every other day. As for the medicine cupping method, you should daub rheumatism oil, cardy oil onto the acupoints and then suck them. With this done, you should wrap the Chuanxiong powder in a piece of clothing, as big as the heel and sew it and attach it on the pain sites. You shouldn’t untie it even walking or sleeping. Caution that you should change the medicine once every two days.

(5) Foot Massage
1) Firstly, relax all the reflection zones on the feet to promote blood circulation and make the body relaxed.

2) Keep feet flatwise till the patients feel comfortable; lift the heel with one hand and scrape-press orderly from outside to inside around feet with thumb joint of the other hand; which make the muscles of heel relaxed and blood circulation fluency; the manipulation is taken for about 15 minutes with a strength according to the tolerance of patients.  

3) Lift the heel to a fixed position with one hand and push upward about 3 cun from bottom to up along the heel with the forefinger of the other hand; which not only make the muscle of calf relaxed but also stimulate the muscular nerve of calf.

4) Lift the heel to a fixed position with one hand and scrape the pain spot of heel toward both sides separately with gradually increased strength of the other hand; the manipulation lasts for about 30 minutes.

5) Keep the fingers side by side and poke the contralateral heel respectively from up to bottom; the potency dimension should be infiltrating and steady. 

6) At last, treat the pain spot in the heel with moderate potency dimension for about 15 minutes.
Two or three courses of treatment should be taken for this disease; besides, if it in coordination with the vinegar application and a better effect will be gained; as the vinegar can soften the spur and cuticle; for the vinegar application, pour the vinegar into the handleless cup and heat it in micro-wave oven; soak hot towel in vinegar and apply it on the effected area after the above manipulation is taken; a warm temperature will be ok.

7) Lavipeditum with Chinese medicine: Get the prescription for relaxing the muscles, stimulating the blood circulation and eliminating dampness to cook for the decoction; put feet in the decoction for 10-15 minutes and knead the effected area appropriately till the red color and heat sensation are gained; avoid burning of the feet and take it 2-3 times a day.

8) Angelica and Pawpaw Decoction
Get equal amounts of angelica, pawpaw, saponin and carbonized hair respectively; dispose and soak for 5-10 minutes, then decoct them in water for the decoction; pour it into the bathtub till the temperature is warm; take lavipeditum for 20-30 minutes, dry the feet and rub both planter centre till a heat sensation is gained; take it once a day. Rub heel with hands in the morning and night is helpful to activate blood circulation to free vessels.

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